MEDICARE: DR. VINAY SIKAND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	MA06172000	NJ

General Provider Information

NPI Number	:	1568499374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINAY SIKAND MD

Provider Business Mailing Address
First Line	:	508 LAKEHURST RD STE 1A
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-8000
Country	:	US
Telephone Number	:	732-244-5864
Fax Number	:	732-244-3326

Provider Business Practice Location Address
First Line	:	508 LAKEHURST RD STE 1A
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-8000
Country	:	US
Telephone Number	:	732-244-5864
Fax Number	:	732-244-3326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	06/20/2013

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